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CVS PHARMACY # 04082
NPI 1003919846
Pharmacy in Erie, PA

Active since September 07, 2006

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy # 04082 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY # 04082 (NPI 1003919846) is a healthcare organization registered as a pharmacy in Erie, Pennsylvania and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director,payer Relations, as its authorized official.

NPPES Registry Identity

NPI1003919846
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePENNSYLVANIA CVS PHARMACY LLC
Location Address410 E 12TH STErie, PA 16503-1226
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(814) 456-7071
Organization SubpartNo
Authorized OfficialSusan ColbertDirector,payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 26, 2011
✔ NPI 1003919846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP412885L
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
410 E 12TH ST, Erie, PA 16503
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy # 04082

Other Identifiers 3

Medicare NSC5619370377PA
Other3905544Other Id Number-commercial Number
Medicare PIN120568PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
59 services58 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services40 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY F STRASSER RPH
Pharmacist
410 E 12TH ST
ERIE, PA 16503
Erie County (814) 456-7071
KYLE TAYLOR SHAFER PHARMACIST
Pharmacist
410 E 12TH ST
ERIE, PA 16503
Erie County (814) 456-7071
MISS DELPHINE NGENCHE CHE
Pharmacist
410 E 12TH ST
ERIE, PA 16503
Erie County (814) 456-7071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennsylvania CVS Pharmacy LLC's NPI number?

The NPI number for Pennsylvania CVS Pharmacy LLC is 1003919846. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy # 04082.

Where is Pennsylvania CVS Pharmacy LLC located?

Pennsylvania CVS Pharmacy LLC is located at 410 E 12th St, Erie, PA 16503. The listed phone number is (814) 456-7071.

What is Pennsylvania CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Pennsylvania CVS Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 32 other insurers list Pennsylvania CVS Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pennsylvania CVS Pharmacy LLC was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.